Provider Demographics
NPI:1205303971
Name:HIGGINS, ANNULI WREN (LMSW)
Entity type:Individual
Prefix:
First Name:ANNULI
Middle Name:WREN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANNULI
Other - Middle Name:WREN
Other - Last Name:BRANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:KS
Mailing Address - Zip Code:67579-0034
Mailing Address - Country:US
Mailing Address - Phone:316-640-2522
Mailing Address - Fax:
Practice Address - Street 1:900 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2004
Practice Address - Country:US
Practice Address - Phone:316-665-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker